Gây tê tủy sống phẫu thuật nội soi ruột thừa trên bệnh nhân có nhiều bệnh nền

Abstract

Laparoscopic appendectomy is normally made under general anaesthesia, but regional techniques have been found beneficial in a lot of situations with comorbidity diseases e.g pulmonary or cardiovascular diseases.
We present a case of a 75-year-old female patient with various comorbidity diseases including hypertension, diabetes mellitus, bronchiectasis, and second-degree heart failure who was undergone laparoscopic appendectomy under spinal anaesthesia. At the time of admission, the blood level of glucose was 30.4 mmol/l, bronchiectasis in the lower lobe of both lungs on the chest x-ray, mild mitral regurgitation, left atrial dilation, ejection fraction (EF) 40%, and atrial fibrillation on the heart ultrasound and electrocardiogram. Laparoscopic appendectomy was made successfully under spinal anaesthesia with heavy bupivacaine 0.5%. There weren’t postoperative complications and the patient was discharged 5 days after the surgery.